DR. YAMAN KAAKEH (NPI# 1457613408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457613408 |
| Entity Type | Individual |
| Full Name | DR. YAMAN KAAKEH |
| Credential | PHARM.D.,BCPS,BCNSP |
| Practice Address |
575 Stadium Mall Dr # 502d West Lafayette IN 47907-2091 |
| Practice Telephone | 7654948173 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 5302036315 | MI | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 26021991A | IN | Pharmacy Service Providers |
| Street Address |
575 STADIUM MALL DR # 502D |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47907-2091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285274464 | Christine Michelle Jones | Nurse Practitioner | Lyles-porter Hall 715 Clinic Drive, West Lafayette, IN 47907 | 2020-01-15 |
| 1013415033 | Brianna Johnson | Psychologist | 601 Stadium Mall Drive, Purdue University Student Health Center, 2nd Floor, West Lafayette, IN 47907 | 2018-01-24 |
| 1285095885 | Christina Ellen Manfred | Nurse Practitioner | 601 W. Stadium Ave, West Lafayette, IN 47907 | 2016-03-10 |
| 1265612626 | Anu Subramanian | Speech-Language Pathologist | 500 Oval Drive Purdue University, Dept of Speech Language and Hearing Sciences, West Lafayette, IN 47907 | 2007-11-13 |
| 1720163348 | Andrea Lynn Lopez | Specialist/Technologist | 900 N. University Ave, Room B63, West Lafayette, IN 47907 | 2006-10-25 |
| 1912914680 | Jeanette Stone Leonard | Audiologist | 715 Clinic Drive, Purdue University, West Lafayette, IN 47907 | 2006-08-02 |
| 1447224977 | Lindsey Ann Watson | Specialist/Technologist | 900 N University Dr, Mackey Arena, Room B60, West Lafayette, IN 47907 | 2006-02-13 |
| 1992280960 | Carol Callahan Lancaster | Nurse Practitioner | 601 Stadium Mall Drive, West Lafayette, IN 47907 | 2018-09-26 |
| 1104314046 | Lukas Micheal Passalacqua | Specialist/Technologist | 900 N John R Wooden Dr, West Lafayette, IN 47907 | 2018-04-26 |
| 1053712570 | Purdue Sports Medicine Wl | Internal Medicine | 900 John R Wooden Drive, Mackey Arena, West Lafayette, IN 47907 | 2014-09-16 |
| Find all providers in zip 47907 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902450489 | Trexie Mercado Rudd | Pharmacist | 575 Stadium Mall Dr Rm 118, West Lafayette, IN 47907-2091 | 2019-08-01 |
| 1154983617 | Lindsey Elaine Mills | Pharmacist | 720 Northwestern Ave Ste 6, West Lafayette, IN 47906-2652 | 2019-07-05 |
| 1396122131 | Joseph Flores | Pharmacist | 2636 Us Highway 52 W, West Lafayette, IN 47906-5511 | 2015-04-30 |
| 1104234830 | David M Norris | Pharmacist | 482 W Navajo St, Suite A, West Lafayette, IN 47906-1940 | 2014-07-25 |
| 1588089536 | Sarah Pierce | Pharmacist | 2636 Us 52, West Lafayette, IN 47906 | 2014-02-27 |
| 1437425485 | R. Deborah Gwin | Pharmacist | 2249 Sandpiper Ct N, West Lafayette, IN 47906-6510 | 2012-03-23 |
| 1700169513 | Catherine Burke | Pharmacist | 3605 Capilano Dr, West Lafayette, IN 47906-8870 | 2011-09-28 |
| 1144337064 | Benjamin M Rachwal | Pharmacist | 482 W Navajo St Ste A, West Lafayette, IN 47906-1940 | 2006-08-24 |
| 1396743696 | Cathy Lou Hancook | Pharmacist | 2815 E 600 N, West Lafayette, IN 47906-9015 | 2005-07-11 |
| 1902801178 | Patricia Lynne Darbishire | Pharmacist | 575 Stadium Mall Dr, West Lafayette, IN 47907-2091 | 2005-06-15 |
| Find all providers in WEST LAFAYETTE | ||||
| City | WEST LAFAYETTE |
| Zip Code | 47907 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.